NPI | 1578285409 |
---|---|
Doing Business As | ADVANCED & MODERN PAIN CENTER |
Entity Type | Organization |
Authorized Contact | MATTHEW MICHAEL JOHNSON Physician 919-225-7774 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2022-09-16 |
Last Update Date | 2022-09-16 |